How to avoid negative appendectomies: Can US achieve this?

Kartal, Kinyas; ULUDAĞ, Mehmet; Yazıcı Özkaya, Pınar; ÜNLÜ, Taner Mehmet; MİHMANLI, Mehmet

How to avoid negative appendectomies: Can US achieve this?

Kinyas KARTAL, (Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey)

Pınar YAZICI, (Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey)

Taner Mehmet ÜNLÜ, (Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey)

Mehmet ULUDAĞ, (Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey)

Mehmet MİHMANLI (Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2017 Cilt: 23 Sayı: 2 Sayfa Aralığı: 134 - 138 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

How to avoid negative appendectomies: Can US achieve this?

Öz:

BACKGROUND: Clinical diagnosis of acute appendicitis is based primarily on symptoms and physical findings. However, diagnosis of appendicitis is not always straightforward. The aim of this study was to demonstrate the diagnostic effectiveness of ultrasonography (US) in these cases in combination with white blood cell count (WBC) and C-reactive protein (CRP) level.METHODS: Retrospective analysis of data collected on 470 consecutive patients who underwent appendectomy at the same institution between January 2014 and January 2016 was conducted. Data included demographic features, preoperative WBC and CRP levels, and US measurement of diameter of appendix. Patients were divided into 3 groups: lymphoid hyperplasia (LH), non-complicated acute appendicitis (NCAA), and complicated acute appendicitis (CAA), according to postoperative histopathological examination results.RESULTS: There were 331 male and 139 female patients with mean age of 32.29±11.44 years included in the study. Mean WBC level was 12.31103/μL (±4.47 103/μL), 13.3 103/μL (±3.87 103/μL) and 14.08 103/μL (±4.11 103/μL) in LH, NCAA, and CAA groups, respectively (p=0.016). Mean CRP level was 14.2±19 mg/L, 36.9±59 mg/L, and 40.8±66 mg/L in LH, NCAA, and CAA groups, respectively (p=0.008). Mean outer diameter of the vermiform appendix on US was 4.8 mm (±3.9 mm), 6.9 mm (±4.08 mm) and 7.6 mm (±3.92 mm) in LH, NCAA, and CAA groups, respectively (p<0.01). When all variables were compared with each other, there were statistically significant differences in US findings according to group.CONCLUSION: WBC count and CRP level were higher in patients with acute appendicitis, but these findings alone were insufficient for definitive diagnosis. US findings were effectual both in diagnosis and demonstration of severe inflammation. US should be combined with laboratory tests and used as standard initial imaging in diagnostic pathway of patients with clinically suspected appendicitis. The authors of this study believe that this diagnostic pathway will reduce negative appendectomy rate

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kartal K, Yazıcı Özkaya P, ÜNLÜ T, ULUDAĞ M, MİHMANLI M (2017). How to avoid negative appendectomies: Can US achieve this?. , 134 - 138.
Chicago	Kartal Kinyas,Yazıcı Özkaya Pınar,ÜNLÜ Taner Mehmet,ULUDAĞ Mehmet,MİHMANLI Mehmet How to avoid negative appendectomies: Can US achieve this?. (2017): 134 - 138.
MLA	Kartal Kinyas,Yazıcı Özkaya Pınar,ÜNLÜ Taner Mehmet,ULUDAĞ Mehmet,MİHMANLI Mehmet How to avoid negative appendectomies: Can US achieve this?. , 2017, ss.134 - 138.
AMA	Kartal K,Yazıcı Özkaya P,ÜNLÜ T,ULUDAĞ M,MİHMANLI M How to avoid negative appendectomies: Can US achieve this?. . 2017; 134 - 138.
Vancouver	Kartal K,Yazıcı Özkaya P,ÜNLÜ T,ULUDAĞ M,MİHMANLI M How to avoid negative appendectomies: Can US achieve this?. . 2017; 134 - 138.
IEEE	Kartal K,Yazıcı Özkaya P,ÜNLÜ T,ULUDAĞ M,MİHMANLI M "How to avoid negative appendectomies: Can US achieve this?." , ss.134 - 138, 2017.
ISNAD	Kartal, Kinyas vd. "How to avoid negative appendectomies: Can US achieve this?". (2017), 134-138.

APA	Kartal K, Yazıcı Özkaya P, ÜNLÜ T, ULUDAĞ M, MİHMANLI M (2017). How to avoid negative appendectomies: Can US achieve this?. Ulusal Travma ve Acil Cerrahi Dergisi, 23(2), 134 - 138.
Chicago	Kartal Kinyas,Yazıcı Özkaya Pınar,ÜNLÜ Taner Mehmet,ULUDAĞ Mehmet,MİHMANLI Mehmet How to avoid negative appendectomies: Can US achieve this?. Ulusal Travma ve Acil Cerrahi Dergisi 23, no.2 (2017): 134 - 138.
MLA	Kartal Kinyas,Yazıcı Özkaya Pınar,ÜNLÜ Taner Mehmet,ULUDAĞ Mehmet,MİHMANLI Mehmet How to avoid negative appendectomies: Can US achieve this?. Ulusal Travma ve Acil Cerrahi Dergisi, vol.23, no.2, 2017, ss.134 - 138.
AMA	Kartal K,Yazıcı Özkaya P,ÜNLÜ T,ULUDAĞ M,MİHMANLI M How to avoid negative appendectomies: Can US achieve this?. Ulusal Travma ve Acil Cerrahi Dergisi. 2017; 23(2): 134 - 138.
Vancouver	Kartal K,Yazıcı Özkaya P,ÜNLÜ T,ULUDAĞ M,MİHMANLI M How to avoid negative appendectomies: Can US achieve this?. Ulusal Travma ve Acil Cerrahi Dergisi. 2017; 23(2): 134 - 138.
IEEE	Kartal K,Yazıcı Özkaya P,ÜNLÜ T,ULUDAĞ M,MİHMANLI M "How to avoid negative appendectomies: Can US achieve this?." Ulusal Travma ve Acil Cerrahi Dergisi, 23, ss.134 - 138, 2017.
ISNAD	Kartal, Kinyas vd. "How to avoid negative appendectomies: Can US achieve this?". Ulusal Travma ve Acil Cerrahi Dergisi 23/2 (2017), 134-138.